Judo4Rugby Judo4Rugby Registration Step 1 of 2 50% Member Name* First Last Gender*Please select your genderMaleFemalePrefer not to sayMember Date of Birth* Day Month Year Is the Applicant Under 18?*YesNoMember Email Address* Enter Email Confirm Email Contact Phone Number*Parent/Guardian Name* First Last Parent/Guardian Email Address* Enter Email Confirm Email Parent/Guardian Contact Phone Number*Home Address* Street Address Address Line 2 City County Post Code Does the applicant have any disabilities or medical conditions?* Yes No Please provide further details:* Please provide the name of your rugby club* Membership Information* Yes I apply for membership of The British Judo Association and agree to comply with the rules and regulations of the organisation and the Associations Terms and Conditions. Failure to do so may result in my membership and insurance being terminated. The information I have provided is true and accurate. Your details will be held by the British Judo Association and it is the members responsibility to keep their details up to date. You also agree to our privacy policy and our terms and conditions.Communication Preferences*Would you like to receive information from The British Judo Association relating to news, competitions, events and other announcements that may be of interest to you. Yes No CAPTCHA
